Purpose: To review our clinical experience with urinary continent catheterizable reservoir in children under five years of age.Materials and Methods: A total of 23 patients (16 males, 7 females) with a median age of 3.64 years were evaluated.Among these, 6 (26.
08%) had a posterior urethral valve, 9 (39.13%) myelomeningocele, 4 (17.39%) bladder exstrophy, 2 (8.69%) genitourinary rabdomyosarcoma, 1 (4.
34%) had spinal tumor and 1 (4.34%) an ano-rectal anomaly.Results: Perioperative complications were observed in four Reclosable Bags patients consisting of one febrile urinary tract infection, one partial operative wound dehiscence, one partial stomal dehiscence and one vesico-cutaneous fistula after a secondary exstrophy repair.The overall long-term complications rate was 40.
90% Footies and consisted of two stomal stenoses (9.09%), one neobladder mucosal extrusion (4.54%), three neobladder calculi (13.63%) and persistence of urinary incontinence in three patients (13.
63%).The overall surgical revision was 36.36% and final continence rate was 95.45% with mean follow-up of 39.
95 months Conclusion: Continent urinary diversion is technically feasible even in small children, with acceptable rates of complications.